Showing 591 - 600 of 634 annotations tagged with the keyword "Disease and Health"

Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

The author is a fourth year medical student dealing simultaneously with the rigors of medical training and the difficulties of living with diabetes. She has discovered that when she tries to interact with patients she over-identifies with them. When she reads about diabetes in medical textbooks, which present a rigid equation for balancing diet, exercise, and insulin need, she tries to adopt this approach to her personal diabetes management, convincing herself that emotions, fatigue, stress and other factors have no effect on her diabetes control. When this biomedical approach fails, she feels deep shame and frustration.

Only over time does she develop the confidence to realize that it is not shameful to admit one's personal needs even in medical training, that disease is a part of all humans and is not an enemy, that she need not be defined solely by her disease (or her profession), and that blurred boundaries between doctors and patients are not as dangerous as she was first led to believe.

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Communion

Weinberg, Richard

Last Updated: Jan-16-1998
Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

The physician author is puzzled about what he can do to help a young woman who comes to him for treatment of her chronic abdominal pain. She has had every test, seen every specialist, and has no clear diagnosis. Only on the third visit, which she has initiated, does he discover that she was sexually assaulted at age 14. He is the only person she has told.

He immediately feels out of his element, and asks her to see a psychiatrist. She refuses, and insists he handle her care. He sets up open-ended visits to allow her time to talk, and looks for help in the medical literature and from a psychiatrist colleague.

Over time, as they explore her feelings and experiences, his patient gains self esteem and transforms herself into a confident, beautiful woman, planning on travel, school, and career. After her last visit with him, he realizes, "I had been chosen to receive a gift of trust, and of all the gifts I had ever received, none seemed as precious."

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Theo's Story

Kovalchik, Michael

Last Updated: Jan-16-1998
Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

A nephrologist is named in a lawsuit after serving as a consulting physician in a diabetes case. The diabetic patient had had a serious infection and later his leg was amputated; he apparently felt the doctors neglected the seriousness of his condition. When the dialysis unit treating this patient requests to transfer his care to the author, whose unit is in the patient's home town, the author is uncertain what to do.

The author is angry about the law suit, and his colleagues counsel him to refuse to take this patient. But after realizing that the lawsuit was merely a reflection of the patient's suffering, and that he needs the same compassion and care as any other human being, the author agrees to accept the patient. The author discovers that his patient is a meek, gentle man; over time, he helps him come to terms with his illness, his disability, and his approaching death. Eventually the patient drops his malpractice suit.

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California Blue

Klass, David

Last Updated: Jan-16-1998
Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Fiction

Genre: Novel for Young Adults

Summary:

John Rodgers is in his last year in high school in a small northern California town where the majority of the townspeople work in the lumber industry. As the youngest son of a father who was a champion athlete, John has always felt pressured by him to excel in his sport of choice, distance running. His father also wants him to put aside his interest in biology--ecologists are the enemy since they threaten his livelihood by protesting clearcutting of redwoods. John can do neither.

In the middle of his senior year he learns that his father has leukemia and is losing ground rapidly. Never having had a comfortable relationship with him, the illness complicates their relationship which soon becomes even more complicated by John's discovery of a rare species of butterfly in the company woods. Knowing it will alienate him not only from his father but from the whole town, he reports the discovery and takes the consequences; his friends beat him up and he runs away. With the help of a sympathetic biology teacher he returns home to find his way to a "separate peace" with his father and a new, complex understanding of the trade-offs between loyalty and responsibility.

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When Nietzsche Wept

Yalom, Irvin

Last Updated: Jan-16-1998
Annotated by:
Martinez, Richard

Primary Category: Literature / Fiction

Genre: Novel

Summary:

The story begins in 1882, when Friedrich Nietzsche's beautiful and mysterious former lover convinces the famous Viennese physician and mentor to Sigmund Freud, Joseph Breuer, to cure Nietzsche of his "despair" so that the world will not be deprived of the "most important philosopher of the next 100 years." Breuer is known throughout Europe for his use of hypnosis and the "talking treatment" that have been successful in the treatment of hysteria.

Since Nietzsche is skeptical of what Breuer can do for him, Breuer offers the challenge that they might help each other. Through subterfuge, Breuer convinces Nietzsche to remain for 1 month in the Lauzon Clinic. Their bargain: Breuer agrees to treat Nietzsche for his chronic migraine headaches, if Nietzsche, the great philosopher, will listen to and cure Breuer of his own despair. What follows is a brilliant tour de force in which the two men engage in daily discussion, bantering, and intrigue, much like a chess game, jockeying for position, as both men are transformed in unpredictable and astonishing ways.

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Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Nonfiction

Genre: Autobiography

Summary:

In this memoir Sheed reflects on his experience of three major illnesses: polio; clinical depression, related to alcoholism and sleeping pill addiction; and cancer. He contrasts the incongruous and paradoxical "inner life" of illness, with the often oversimplified prototypical experience represented by AA [Alcoholics Anonymous] literature, various psychiatric orthodoxies, and popular media.

Issues that arise include the tension between medical authority and patient experience, caregivers' and clinicians' projections, friends' and family's misapprehensions, and the surprises, both welcome and horrifying, that occur in the course of treatment and recovery because no illness, mental or physical, follows a textbook format.

The narrative is a wry examination of games patients play as well as a confession, dry and witty but also extraordinarily perceptive, of the failed and false expectations, pretenses, fears, resistances, rage, and qualified pleasures that characterized his personal odysseys through illnesses that have often been simplified and obscured by popular mythmaking.

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Annotated by:
Squier, Harriet

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

A middle aged woman goes backpacking for the first time in 14 years after losing her leg in an automobile accident. As she recounts the excursion, with its difficulties and exhilaration, she reflects on the ways her life was changed by losing her leg, and the emotional journey she has taken since the accident. She concludes by thinking about how to find power despite her vulnerability, how to adjust and accommodate, but never compromise.

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Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

This is a collection of humorous and insightful verse inspired by scientific articles published in medical journals, such as Journal of the American Medical Association and the New England Journal of Medicine. Pollycove is a "literary persona" who practiced internal medicine in rural Iowa for 30 years and "died from an acute coronary occlusion in October, 1990." This, according to the Introduction written by Pollycove's alter-ego, H. J. Van Peenen, an internist and pathologist who retired from academic pathology in 1990 and the publisher of this collection. Excerpts from the original articles alternate in the book with the poems that they inspired. The Literature is available from Goatfoot Press, 3910 Courtney Lane S.E., Salem, Oregon 97302.

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The Slaughterhouse

Schreck, Karen Halvorsen

Last Updated: Nov-23-1997
Annotated by:
Squier, Harriet

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

A woman, Rose, describes her childhood during the depression as she struggled with issues of her own identity and her jealousy toward her younger sister, Sophie, who suffers from cerebral palsy and seizures. Rose watches as Sophie is born, as her parents argue, as Sophie is held closely by their mother during her seizures, and as Sophie is given two birthday parties each year. She fantasizes about how life might be if her sister were dead, and imagines her sister hanging from a rack like the animals at the slaughterhouse. Finally, she discovers that Sophie actually needs her and loves her.

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On the Death of a Parent

McLoughlin, J., ed.

Last Updated: Nov-04-1997
Annotated by:
Belling, Catherine

Primary Category: Literature / Nonfiction

Genre: Collection (Memoirs)

Summary:

In this collection, sixteen writers (including the editor, in her introduction) recount the deaths of one or both of their parents. They explore a wide range of questions: about the relationship between parents and their children, about the inevitability of the loss of that relationship (if it is lost in death, for, as the editor asks, "is the death of a parent really the end of the relationship?" [p. 2]), and about the conflicts that arise between the necessary separation that comes with adulthood and the complex ongoing attachments which in these stories enrich, haunt, inform and in many ways determine the lives of the tellers.

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